Who in the household will be responsible for caring for the animal and their age?

Indicate the type of area you live in:

Urban(City)

Residential(Town)

Agricultural(Country)

Please indicate which of the following best describes your home:

House

Mobile Home

Apartment/Townhome

If you live in a mobile home, is it a privately owned property?

Yes

No

Please indicate if you rent or own your property:

Rent

Own

If you rent, please state your landlord's name and phone number:

Section 1: HISTORY OF YOUR PET(S)

1. What pets have you owned in the past five years?

Type of
Animal & Breed

Animal's
Name

Animal's
Age

Was the animal spayed/neutered?

Do you still
own the animal?

2. If you no longer have any of the above pets, please explain what happened to them:

3a. Have you previously adopted an animal from a shelter?

Yes

No

3b. Have you taken an animal to a shelter?

Yes

No

4. Veterinary Information

(a) Please state the name and phone number of your veterinarian:

(b) When was your last visit to the vet?

(c) What was the reason for your visit?

(d) May we contact your vet?

Yes

No

(e) Are your pets listed under your name?

Yes

No

If not, who's name is listed?

Section 2: FOR CAT ADOPTION—ALL ANSWERS MUST BE FILLED IN FOR CONSIDERATION

1. Why did you decide to get a new cat?

2. Cat will be:

Indoor

Outdoor

Both

2a. Please explain your reasoning for this decision:

3. Do you plan to declaw?

Yes

No

3a. Please explain your reasoning for this decision:

4. Under what circumstances would you not be able to care for this cat?

5. How do you plan to discipline this animal and/or discourage unwanted behavior (i.e. jumping on counters, scratching furniture, etc.)?

6. What is your reason for choosing this particular animal?

Section 3: FOR DOG ADOPTION—ALL ANSWERS MUST BE FILLED IN FOR CONSIDERATION

1. Why did you decide to get a new dog?

2. Please provide a sentence or two on what you know about heartworm disease.

3. How often will your new dog receive heartworm prevention and heartworm testing?

4. Do you have a completely fenced yard?

Yes

No

5. How do you plan to exercise this dog?

6. How do you plan to discipline this dog?

7. Under what circumstances would you not be able to care for this dog?

8. Where will this dog sleep?

9. Where will this dog be kept during the day?

at night?

10. How many hours will this dog be alone each day (average)?

11. What is your reason for choosing this particular animal?

Section 4: GENERAL QUESTIONS—ALL ANSWERS MUST BE FILLED IN FOR CONSIDERATION

1. How often will you bring your new pet to the vet for regular checkups and vaccinations?

2. How much do you plan on spending yearly on medical care for this pet?

3. How much would you be willing to spend on a medical emergency for this pet?

4. If you had to move, how important is it that your new home allows pets?

5. How long do you expect your new pet to be a part of your life?

Personal References - Please give 2

Name/Relationship

Email Address

In an emergency, if something should happen to you and/or you are no longer able to care for the pet(s),
who will be the caretaker of your animal(s)?

By signing/submitting this adoption application, I am accepting all risks associated with handling animals during the adoption process and release 2PawsUp from all liability.

I also further attest that the information given is true. I realize that giving false information may result in being denied.

I agree to release all veterinary records pertaining to any animals in my household. I realize that I must come to the animal’s foster home to visit this pet before approval, and that I will be required to pick up the pet at a later determined time and location.